Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $27.35 / $56.76	Facility		$27.35	$27.35	$56.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $13.88 / $27.35	Professional		$13.14	$13.88	$27.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $21.04 / $21.91	Professional		$11.55	$21.04	$21.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $27.02 / $89.85	Facility		$10.44	$27.02	$89.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $39.24 / $3,648.04	Professional		$20.51	$39.24	$3,648.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $27.35 / $35.06	Facility		$12.51	$27.35	$35.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $35.06 / $35.06	Professional		$18.00	$35.06	$35.06
United Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $21.04 / $34.19	Facility		$11.13	$21.04	$34.19
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.53 / $35.06	Professional		$17.10	$17.53	$35.06
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $162.40 / $162.40	Facility		$68.25	$162.40	$162.40